Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Diagnosis Poor ... Catecholamines - Alkalosis ... #Low #Potassium ... #Table #Classification ... #Causes
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... and sodium β€’ Dosing ... patients sensitive to high ... of aspiration #Potassium ... #pharmacology #table
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... treated with IV potassium ... urinary losses: β€’ High ... - Metabolic Alkalosis ... #diagnosis #Algorithm
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 β€’ High Al, Low R - Primary aldosteronism
 β€’ High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #nephrology ... #causes #low #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Syndrome β€’ HTN, High ... #Algorithm #causes ... #potassium #low
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... the indicated causes ... of sodium and potassium ... Chloride #urine #Algorithm ... #differential #diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... insufficiency likely: β€’ High ... #Algorithm #endocrinology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... diuresis can be high ... Present (Uosm β‰₯100): Hypovolemia ... #differential #diagnosis ... #table #sodium
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 β€’ Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic ... algorithm for hypokalemia ... urine Na/Cl < 0.7, high ... correcting serum potassium ... continued in most cases
Blood Transfusion Reactions

Immune Mediated:
 β€’ Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
High mortality. ... β€’ Hypocalcemia ... , Hyperkalemia: ... products contain potassium ... #Transfusion #diagnosis